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免疫规划对土耳其疫苗可预防疾病发病率和死亡率的影响。

Effects of immunization program on morbidity and mortality rates ofvaccine-preventable diseases in Turkey.

机构信息

Ministry of Health, Ankara, Turkey

Department of Public Health, Faculty of Medicine, Çukurova University, Adana, Turkey

出版信息

Turk J Med Sci. 2020 Dec 17;50(8):1909-1915. doi: 10.3906/sag-2008-177.

Abstract

BACKGROUND/AIM: This study aims to serve as a unique consolidated source in Turkey’s vaccination history and as an example for other countries by objectively revealing the change in mortality and morbidity rates in Turkey following the beginning of vaccination without asserting any claim on the benefits or risks of vaccines. This unbiased research will also help health professionals identify the challenges more easily when they face with the people who hesitate to vaccinate their children.

MATERIALS AND METHODS

Descriptive research design is adopted in this study. The coverages of vaccinations, mortality, and morbidity rates were identified through a retrospective analysis of the data provided from the Ministry of Health of Turkey. The data provided by the Turkish Statistical Institute were used for the identification of the population by the year. Mortality and morbidity rates were calculated based on these data

RESULTS

Morbidity rates, mortality rates, and vaccine coverages are all presented in years. Successful interventions have been observed in the eradication of polio, the elimination of maternal neonatal tetanus, and also in combating with other diseases. A decline in pertussis mortality from 0.59 to 0.06 along with a decline in diphtheria morbidity under to 0.0001 were recognized; additionally the last death due to poliomyelitis was observed in 1998. Only 4 deaths occurred in the measles epidemic in 2013. With the initiation of vaccination, both the morbidity of the rubella with the ratio of 3.12/100,000 and the mortality of pumps with the ratio of 25/100,000 fell to zero. Also, no death due to neonatal tetanus has been recorded since 2014.

CONCLUSION

The present study demonstrates that many possible diseases and deaths have been prevented through vaccination studies. In this regard, this study demonstrating the importance of vaccination presents that all individuals in the society have a responsibility in this scope when the communicable diseases and wars are taken into consideration. The main responsibility is to ensure that they and their children are vaccinated against communicable diseases that are risky for society’s health.

摘要

背景/目的:本研究旨在为土耳其的疫苗接种史提供一个独特的综合资源,并为其他国家树立一个范例,客观地展示自接种疫苗以来土耳其的死亡率和发病率的变化,而不主张对疫苗的益处或风险提出任何主张。这项无偏见的研究还将帮助卫生专业人员在面对那些不愿为孩子接种疫苗的人时,更容易识别挑战。

材料和方法

本研究采用描述性研究设计。通过对土耳其卫生部提供的数据进行回顾性分析,确定了疫苗接种覆盖率、死亡率和发病率。土耳其统计局提供的数据用于按年份确定人口。根据这些数据计算死亡率和发病率。

结果

发病率、死亡率和疫苗覆盖率均以年为单位呈现。在根除小儿麻痹症、消除孕产妇新生儿破伤风以及防治其他疾病方面,都取得了成功的干预措施。百日咳死亡率从 0.59 降至 0.06,白喉发病率降至 0.0001;此外,1998 年最后一例脊髓灰质炎死亡病例。2013 年麻疹疫情仅发生 4 例死亡。随着疫苗接种的开展,风疹发病率(3.12/10 万)和水泵死亡率(25/10 万)均降至零。自 2014 年以来,新生儿破伤风也没有死亡记录。

结论

本研究表明,许多可能的疾病和死亡都可以通过疫苗接种研究来预防。在这方面,本研究强调了接种疫苗的重要性,表明在考虑传染病和战争时,社会中的所有个人都有责任在这一范围内承担责任。主要责任是确保他们及其子女接种针对传染病的疫苗,因为这些传染病对社会健康构成风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3065/7775686/c82eff2e6819/turkjmedsci-50-1909-fig001.jpg

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